By Professor Ivo Pitanguy M.D., F.B.C.S., F.A.C.S., F.I.C.S. (auth.)
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Kein operatives Fachgebiet ist zur Zeit aktueller als die plastisch-? sthetische Chirurgie. Der Autor gibt erstmals aus seinem 20-j? hrigen Erfahrungsschatz pers? nliche Tipps und methods weiter. S? mtliche wichtigen "Sch? nheitsoperationen" stellt er kurz, kompetent und ? bersichtlich dar und gibt so allen interessierten ?
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Extra resources for Aesthetic Plastic Surgery of Head and Body
The patient is under sedation and the breast is firmly squeezed circumferentially to exert equal force around the capsule Fig. 57. This patient underwent augmentation mammoplasty with a foamy silicone prosthesis and 3 years later had a severe degree (Baker's third stage) of capsular contraction. Closed capsulotomy was unsuccessful and an open capsulotomy associated with a reduction mammoplasty (rhomboid technique) was performed and a smaller silicone gel prosthesis inserted in which there is gross distortion and (iii) in which closed capsulotomy has failed (Fig.
Any evidence of nipple infection should be eradicated prior to surgery. 43 On the basis of discussion between the surgeon and the patient an implant of appropriate size is chosen. The patient should be informed that contracture of the capsule is a potential complication which is unpredictable. 6 Surgical Technique The breast is moved towards all quadrants (Fig. 5%) and adrenaline (1/200000) along the plane of cleavage between the glandular tissue and the aponeurosis of the pectoral muscles (Fig.
It should be remembered that the breasts of an adolescent girl may develop asymmetrically but eventually become equal in size; patients complaining of asymmetrical breasts during adolescence should therefore be advised to wait until maturation is complete before requesting surgical correction. Bilateral Hypogenesis. This form is seen in varying degrees of severity. It may simply consist of a lack of adipose tissue, but in some cases there is underdevelopment of the glandular tissue, areola or nipple.
Aesthetic Plastic Surgery of Head and Body by Professor Ivo Pitanguy M.D., F.B.C.S., F.A.C.S., F.I.C.S. (auth.)